Nokea
The nurse is caring for a 14-year-old girl with multiple health problems. Which activity would best reflect evidence-based practice by the nurse?
- A. Following blood pressure monitoring recommendations
- B. Determining how often the vital signs are monitored
- C. Using hospital protocol for ordering diagnostic tests
- D. Deciding the prescribed medication dose
Correct Answer: A
Rationale: Using hospital protocol for ordering a diagnostic test, determining how often the vital signs are monitored, and deciding the medication dose ordered would be the health care provider's responsibility. However, following blood pressure monitoring recommendations would be part of evidence-based practice reflected in the nursing care delivered.
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What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
What occurred after childbirth migrated from the home to the hospital?
- A. Infection rates dropped in the hospital.
- B. Laboring persons were given greater support in labor.
- C. The childbirth model became a medical model.
- D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C
Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.
Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
- A. Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.'
- B. I can't understand why the patient got mad when I checked her cervix. I just forgot to ask first.'
- C. Surrogacy should not happen because the surrogate is just in it for the money.'
- D. Every country should have abortion rights.'
Correct Answer: A
Rationale: Rationale: Answer A demonstrates an understanding of cultural relativism, acknowledging different cultural practices without condoning harmful acts. It respects cultural diversity while upholding human rights. Choices B, C, and D lack ethical consideration, empathy, and cultural sensitivity, making them incorrect. B shows a lack of respect for patient autonomy. C displays judgmental views on surrogacy. D oversimplifies a complex ethical issue. In summary, A is correct as it balances cultural understanding with the importance of human rights, while the other choices lack ethical awareness and sensitivity.